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General NPI Number Information
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NPI Number | 1184066227
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Entity Type | Organization
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Legal Business Name | ERICA TOBER ABA CONSULTING
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 15 CLEVELAND AVE
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City | EAST HANOVER
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State | NJ
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Zip | 07936-2938
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Country | US
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Telephone | 201-400-4423
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Fax |
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Provider Business Mailing Address
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Address Line | 15 CLEVELAND AVE
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City | EAST HANOVER
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State | NJ
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Zip | 07936-2938
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Country | US
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Telephone | 201-400-4423
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ERICA ANN TOBER
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Credential | M.S., BCBA
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Telephone | 201-400-4423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 1-13-13453
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 1-13-13453
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1-13-13453
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License Number State | NJ
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